Clinical investigation of primary retinitis pigmentosa complicated with cataract phacoemulsification sur-gery
Objective To investigate the clinical effect of primary retinitis pigmentosa cataract complicated by phacoemulsification.Methods A retrospective case series study.45 eyes of 26 primary retinal pigmentosa complicated cataract patients(including 37 eyes of 20 males,and 8 eyes of 6 females)who received phacoemulsification with intraocu-lar lens(IOL)implantation in our hospital from January 2019 to January 2022 were included.The age of the patients ranged from 43 to 71 years,with an average age of(57.58±7.72)years.All patients diagnosed primary retinitis pigmentosa compli-cated cataract patientsbefore the operation,among which 4eyes were found with shallow anterior chamber,1 eye with slight lens tremor,2 eyes with macular edema,and 4 eyes were unable to see the macular area before the operation.Phacoemulsi-fication combined with IOL implantation was used,and the postoperative observation indexes were visual acuity,intraocu-lar pressure,slit lamp and fundus.Results There were 21 eyes best corrected visual acuity(BCVA)were 0.5(46.67%),18 eyes BCVA were 0.5>corrected vision≥0.3 with(40.00%),6 eyes with corrected visual acuity<0.3(13.33%),and without improvement in 3 eyes(6.67%).All IOL were implanted during the operation,and 1 eyes IOL was implanted with the tension ring.4 eyes with shallow anterior chamber before the operation and still with shallow anterior chamber after the operation.The anterior chamber did not deepen after Nd:YAG laser,and the intraocular pressure in 2 eyes did not in-crease,and the intraocular pressure(IOP)in 2 eyes was stable under drug control,two eyes showed corneal edema at one week after the operation,one eye IOP was 26 mmHg(P>0.05).All patients had smooth surgery and no obvious surgical complications.Conclusions For primary retinitis pigmentosa complicated with cataract,using phacoemulsification is safe and effective.
国家科技期刊平台
NSTL
万方数据
维普
